Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Randolph Geslani

Neurology Lehigh Acres, FL Medical Doctor

NPI 1760442057 CMS profile 260805

228 Plaza Dr E, Suite E, Lehigh Acres, FL 33936

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General payments

$11,484

584 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Randolph Geslani of Lehigh Acres, FL is reported in the CMS Open Payments database as having received $11,484 across 584 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 76th percentile of Neurology profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $1,335 79
2024 General $1,096 55
2023 General $1,513 74
2022 General $1,480 99
2021 General $1,677 111
2020 General $1,458 102
2019 General $2,926 64

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Randolph Geslani
  • Neurology median
  • Middle half of Neurology
  • National median

In program year 2025, general payments to Randolph Geslani were reported at $1,335. Among 11,022 Neurology profiles paid that year, the median was $457 and the middle half received between $118 and $2,344.

Show as a table
Year Randolph Geslani Neurology median Middle half National median
2019 $2,926 $474 $118–$2,177 $163
2020 $1,458 $367 $82–$2,309 $114
2021 $1,677 $438 $104–$2,547 $132
2022 $1,480 $442 $103–$2,388 $149
2023 $1,513 $464 $119–$2,312 $160
2024 $1,096 $468 $119–$2,323 $164
2025 $1,335 $457 $118–$2,344 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Teva Pharmaceuticals USA, Inc. $2,610 182 payments
  2. Bayer HealthCare Pharmaceuticals Inc. $2,231 10 payments
  3. AbbVie, Inc. $1,059 65 payments
  4. Biogen, Inc. $968 35 payments
  5. Neurocrine Biosciences, Inc. $878 55 payments
  6. UCB, Inc. $797 44 payments
  7. Avanir Pharmaceuticals, Inc. $334 42 payments
  8. SK Life Science, Inc. $307 18 payments
  9. Novartis Pharmaceuticals Corporation $279 15 payments
  10. Eisai Inc. $241 14 payments
  11. Other $1,780 104 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $8,830 574 payments
  2. Travel and Lodging $1,342 4 payments
  3. Consulting Fee $1,080 3 payments
  4. Education $231 3 payments
Products named General payments · program years 2019–2025
  1. Betaseron $2,231 10 payments
  2. AUSTEDO $982 75 payments
  3. UBRELVY $846 52 payments
  4. Austedo XR $770 47 payments
  5. QULIPTA $704 41 payments
  6. INGREZZA $674 40 payments
  7. Briviact $638 38 payments
  8. AJOVY $498 42 payments
  9. TYSABRI $480 10 payments
  10. Ongentys $397 25 payments
  11. Other $4,037 262 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 63 drugs

Part D claims

2,460

Median for Neurology: 833

Drug cost

$4,635,494

Median for Neurology: $202,670

Branded share of claims

47.8%

Median for Neurology: 25.9%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Austedo Deutetrabenazine Brand 205 $1,925,561
Austedo Xr Deutetrabenazine Brand 117 $1,511,259
Nuedexta Dextromethorphan Hbr/Quinidine Brand 98 $138,469
Vumerity Diroximel Fumarate Brand 13 $111,540
Qulipta Atogepant Brand 101 $110,459
Kesimpta Pen Ofatumumab Brand 11 $110,236
Nurtec Odt Rimegepant Sulfate Brand 74 $107,563
Ingrezza Valbenazine Tosylate Brand 12 $100,471
Aptiom Eslicarbazepine Acetate Brand 58 $74,248
Ubrelvy Ubrogepant Brand 58 $73,198

The 10 drugs with the highest cost, of 63 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 13,695 Part D prescribers listed as Neurology; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 7 billing codes

Paid by Medicare

$21,546

Medicare's payments for the services billed

Medicare patients

87

Average age 72

Services billed

243

48 women, 39 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Arthritis 49%
Diabetes 34%
Ischemic heart disease 34%
Depression 31%
Heart failure 28%
COPD 26%
Chronic kidney disease 22%

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

First 5 of 15 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
Austedo XR
  • Teva Pharmaceuticals USA, Inc. $203
$203 322 —
UBRELVY
  • AbbVie, Inc. $194
$194 58 —
QULIPTA
  • AbbVie, Inc. $175
$175 101 —
INGREZZA
  • Neurocrine Biosciences, Inc. $85
$85 12 —
KESIMPTA
  • Novartis Pharmaceuticals Corporation $65
$65 11 —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

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Records

584 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Neurology in Florida

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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